Organization
VITALYZEMED
Active
Organization
VITALYZEMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ DASTAGIR MD (OWNER)
(570) 205-8125
Entity
Organization
Contact information
Practice address
17137 RALPHS RANCH RD, SAN DIEGO, CA 92127-7825
(570) 205-8125
Mailing address
17137 RALPHS RANCH RD, SAN DIEGO, CA 92127-7825
(570) 205-8125
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
08/28/2024
Last updated
07/09/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up